Painless retrograde type A aortic dissection followed conservative treatment of type B aortic dissection: a case report.,BMC Cardiovascular Disorders

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Painless retrograde type A aortic dissection followed conservative treatment of type B aortic dissection: a case report.
BMC Cardiovascular Disorders ( IF 2.1 ) Pub Date : 2020-01-13 , DOI: 10.1186/s12872-020-01331-5
Yongle Ruan _{1,

2} , Zhiwei Wang ₁ , Zhiyong Wu ₁ , Wei Ren ₁ , Zongli Ren ₁ , Anfeng Yu ₁ , Mohamed Rahouma ₂

Affiliation

BACKGROUND Retrograde type A aortic dissection (RTAD) is a fatal aortic disease secondary to descending aortic dissection, and might be misdiagnosed due to its atypical symptoms lead to catastrophic outcomes. CASE PRESENTATION We herein reported a case of a 40-year old Chinese non-comorbid man who received conservative treatment for acute type B aortic dissection and progressed to RTAD in a painless manner in a week. After open surgical aortic repair with stented elephant truck technique, the patient survived without obvious complication and cured with a satisfactory outcome in a half-year follow-up. CONCLUSION This case indicates that RTAD may present without typical symptoms, early diagnosis and open surgical procedure are imperative for treating RTAD.

更新日期：2020-01-13

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